Medicare Medicaid Category

Medicare & Medicaid

News articles in this section include actions by federal regulators like the CMS and HHS, as well as information on Medicare and state Medicaid coverage and benefits.

Democrats Lower Their Sights on Healthcare Changes

Many progressive Democrats and President Biden face the political reality that sweeping health care overhauls are unlikely to be successful in the short term, meaning their hopes could instead be based on building on recent changes to the Affordable Care Act and the cost of prescription drugs Lower medication. Almost 1.4 million uninsured people are ...

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What’s At Stake For Employers In Congress’s Drug Pricing Fight

Employers and their workers have hundreds of billions of dollars at stake in the fight over House Democrats’ drug pricing bill, according to a new West Health Policy Center analysis. Why it matters: If anyone has the political clout to take on the drug industry, it’s employers. By the numbers: The House bill could reduce employer health spending by ...

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Insurers And Brokers Create New Advocacy Group Aimed At Spurring Use Of HRAs

A group of insurers and brokers has created a new advocacy group aimed at preserving health reimbursement arrangements that could be targeted by the Biden administration. The new HRA Council, launched Friday, will serve as a nonpartisan advocacy group aimed at raising awareness about individual and small employer HRAs, which allow employers to subsidize their ...

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Coverage Implications of Policies to Lower the Age of Medicare Eligibility

President Biden proposed lowering the age of Medicare eligibility to 60 during the presidential campaign and reiterated his support recently, with the goal of broadening coverage and making health coverage affordable for older adults.  Proposals to lower the age of Medicare, either to 60 or a younger age, may be considered by Congress.  One KFF analysis shows ...

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Bipartisan Bill Would Revamp Medicare Advantage Prior Authorization

Congress is eying changes to Medicare Advantage that would crack down on prior authorization tactics insurers use to rein in healthcare costs but can affect how providers care for patients. Rep. Susan DelBene (D-Wash.), Mike Kelly (R-Pa.), Ami Bera (D-Calif.) and Larry Bucshon (R-Ind.) reintroduced a bill Thursday that aims to quicken the prior authorization ...

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House Republicans Push To Make Drug Price Legislation Bipartisan

House Republicans want their Democratic counterparts to endorse more bipartisan-friendly reforms to drug pricing as the chances of a bill to give Medicare negotiating power look dim. Republicans on the House Energy and Commerce Committee endorsed during a hearing on Tuesday legislation that includes a series of reforms including an out-of-pocket cost cap for seniors ...

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Pallone Commits To Using ‘Whatever Vehicle I Can’ To Pass Democrats’ Drug Pricing Bill

House Energy and Commerce Committee Chairman Frank Pallone Jr. (D-N.J.) on Tuesday said he would use “whatever vehicle I can” to pass the Democrats’ drug pricing bill, known as H.R. 3, that would allow the federal government to negotiate for decreased prices on behalf of Medicare. Pallone joined health advocates from Protect Our Care New ...

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Biden Says He Wants to Go Big On Health Care. But He Left Major Reforms Out of His Latest Plan

During President Joe Biden’s speech to Congress on Wednesday, he called for an ambitious health agenda that would allow the federal government to negotiate prescription drug prices, expand Medicare coverage, build on the Affordable Care Act and lower deductibles.

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CMS Extends Special Enrollment Period Qualifications In Latest ACA Rule

The Biden administration finalized a rule that makes it easier for consumers to qualify for a special enrollment period for Affordable Care Act exchange coverage, in addition to several other major changes.

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California Mulls Letting Adults Add Parents To Health Plans

California could become the only state to let adult children add their parents as dependents to their health insurance plans, a policy proposal aimed at increasing insurance coverage among low-income people living in the country illegally who aren’t eligible for government-funded coverage. Former President Barack Obama’s health law let parents keep their adult children on ...

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